How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,258.93 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $3,715.35 | Professional | None | $1,258.93 | $1,995.26 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $3,890.45 Typical High $4,073.80 | Facility | None | $2,454.71 | $3,890.45 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $2,570.40 | Professional | None | $1,778.28 | $2,041.74 | $2,570.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | RR · Rental | $208.93 | $208.93 | $208.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,548.82 |
CareSource Setting Facility Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,495.41 | Facility | None | $2,511.89 | $3,467.37 | $5,495.41 |
CareSource Setting Professional Modifier None Typical Low $3,801.89 Median $4,786.30 Typical High $6,165.95 | Professional | None | $3,801.89 | $4,786.30 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $5,370.32 | Facility | None | $2,454.71 | $2,454.71 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $18,620.87 | Professional | None | $1,778.28 | $2,454.71 | $18,620.87 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,905.46 | $2,630.27 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $295.12 Typical High $562.34 | Professional | 55 · Aftercare only | $245.47 | $295.12 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $199.53 Typical High $371.54 | Professional | 56 · Pre-op care only | $162.18 | $199.53 | $371.54 |
Where Kentucky sits
The same service costs 2.3 times more in Montana than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kentucky· 41st of 51
$2,042
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.